| Organization Name: | PRESTIGE IMAGING, LLC |
| NPI Number: | 1083642656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM D CRUZ (FACILITY DIRECTOR) |
| Mailing Address: | 2916 N Sam Rayburn Fwy Suite 610 Sherman |
| State: | TX US |
| Postal Code: | 750902546 |
| Phone Number: | 9038682255 |
| Fax Number: | 9038688011 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 04/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | R29470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |